Beruflich Dokumente
Kultur Dokumente
Surveillance Project
BYPankaj Joshi (66)
Parvind Singh (67)
Pooja Negi (68)
Priya Khanijo (69)
Rahul Kumar Singh
(70)
INTRODUCTION
Disease burden of the people of India
is one of
the highest in the world.
Triple burden in infectious diseases.
Firstly, we have those infectious
diseases for which specific
preventive measures are yet not
available and secondly, we have
infectious diseases because of
insufficient public health measures.
SURVEY
An investigation in which an
information is
systematically collected but in which
the
experimental method is not used.
SURVEILLANCE
Defined as the continous scrutiny of
the factors that determine the
occurrence and distribution of
disease and other conditions of ill
health.
Sero-surveillance : Identifies patterns
of current and past infection and
based on blood or sera.
Objectives
To provide information about new
and changing trends in the health
status of a
population.eg.morbidity,mortality,nut
ritional status etc.
To provide feedback which may be
expected to modify the policy and
system.
To provide timely warning of public
health disasters.
MONITORING
Refers to the continous oversight of
activities to ensure that they are
proceeding according to plan.
Therefore, monitoring becomes one
specific and essential part of broader
concept embraced by surveillance.
INTEGRATED DISEASE
SURVEILLANCE PROJECT(IDSP)
Launched with World Bank assistance
in november 2004.
Decentralized state based project.
5 year project from 2004-2009.
Project was extended for 2 years in
march 2010
70
60
50
40
30
20
10
0
est budget
expenditure
Overall objectives
To establish a decentralized
system of disease surveillance
Improve the efficiency of the
existing surveillance activities of
disease control programs for use
in health planning, management
and evaluating disease control
strategies
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Specific Objectives
To integrate, coordinate and
decentralize surveillance activities
Undertake surveillance for limited
number of health conditions and risk
factors
To establish system for quality data
collection, reporting, analysis and
feedback using IT
To improve laboratory support for
disease surveillance
To develop human resource for disease
surveillance
To involve all stake holders including
those in private sector and
communities
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Project Activities
Decentralizing and integrating
surveillance mechanisms
Up gradation of laboratories
Information technology and
communication
Human resources and development
Operational activities and response
Monitoring and evaluation
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OTHER INTERNATIONAL
COMMITMENTS - Plague , yellow fever
UNSUAL CLINIC SYNDROME
meningoencephalitis , respiratory diseases ,
hemorrhagic fever , jaundice and other
undiagnosed conditions.
2.SENTINEL SURVEILLANCE
STDs/BLOOD BORNE DISEASES
HIV/HBV/HCV
ORGANISATION STRUCTURE
CENTRE RESPONSIBILITIES
Developmentofguidelines,
laboratory &computermanuals,
andtrainingmaterials .
Training of State Rapid Response
Teams
Strengthening & networking of
National and Regional laboratories .
Establishing rapid communication
network .
Technical review, co-ordination,
monitoring and evaluation .
STATE RESPONSIBILITIES
Strengthening
ofepidemiologicalcapabilities
atstateanddistrict
levelbytraining ofdistrict and
healthpersonnelat theperiphery
Modernization and computerization
of state & district Epidemiology cell .
Strengthening of state / district
laboratories .
Improving sub-district mobility and
communication .
WEEKLY REPORTS
Week Starting
Week ending
Outbreak
Number
Nature
Strength of IDSP
Functional integration of
surveillance components of
vertical programs.
Reporting of suspect, probable
and confirmed cases- Syndromic
reporting from periphery.
Strong IT component of data
analysis.
Trigger level for gradated
response.
Key Performance
Indicators
Number and percentage of districts
providing monthly surveillance
reports on time -by state and
overall
Number and percentage of
responses to disease-specific
triggers on time - by state and
overall
Alerts through IDSP call center Call center operational with 1075 toll free number
since February 2008.
Call received from beginning till 30 th June, 2012 :
2,77,395 (35,866 calls related to H1N1).
Outbreak reported in 2008 553
2009 799
2010 990
2011 1675
2013 1893 (till 8th Dec)
e-learning:
The objective of e-learning is to enhance the
skills to a wide arena of health personnel.
Proposed components:
- discussion forums
- online survey & assessment
- feedback
- FAQs
Currently e-leaning modules are being
prepared.
Benefits Of Media
Scanning
Increase the sensitivity &
strengthen the surveillance system.
Provide early warning of
occurrence of clusters of diseases.
A total of 2537 media alerts were
reported from July 2008 to Nov 2013
(majority of alerts were related to
diarrheal diseases, food poisoning
and vector born diseases).
IDSP Reporting
Form
Form
S
P
Form L
2. Involvement of Medical
colleges:-Each MEDICAL COLLEGE is
integrated to this project.
Their role is to provide services like
.Reference Laboratories
.Quality assurance
.Training
.Epidemic investigation
.Non communicable Diseases surveillance
IDSP &
UTTARAKHAND
LABORATORIES
MICROBIOLOGY
REFERRAL LAB
LINKED
DISTRICTS
1. Himalayan institute of
Medical science , Jolly Grant
Dehradun,Uttarkashi,Haridwar
&Tehri Garhwal
Champawat,Pithoragarh,Nainit
al,
Bageshwar,Udham singh nagar
3. VCSGGMS&RI , Srinagar
Garhwal
4. District Priority Lab , Pauri
5. District Priority Lab ,Almora
Chamoli, Rudraprayag
Pauri Garhwal
Almora
THANK YOU